Active NPI
Elizabeth V. Michael, PH.D.
- Clinical Psychologist
- Algonquin, IL
National Provider Identifier
1538311964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-005969
- Practice address
- 2971 W Algonquin Rd
Suite 107a
Algonquin, IL 60102-9406 - Phone
- (847) 372-5046
- Fax
- (847) 458-0071
- NPI assigned
- Oct 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 071-0059-69 | IL | |
| Clinical Psychologist | 103TC0700X | 071-005969 | IL | Primary |
Addresses
Primary practice location
2971 W Algonquin Rd
Suite 107a
Algonquin, IL 60102-9406
Mailing address
2971 W Algonquin Rd
Suite 107a
Algonquin, IL 60102-9406
Phone (847) 372-5046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-0059-69 | IL | MD | Cognitive & Behavioral Psychologist |
| 071-005969 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1538311964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2971 W ALGONQUIN RD",
"address_2": "SUITE 107A",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601029406",
"telephone_number": "847-372-5046",
"fax_number": "847-458-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2971 W ALGONQUIN RD",
"address_2": "SUITE 107A",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601029406",
"telephone_number": "847-372-5046",
"fax_number": "847-458-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "ELIZABETH",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "IL",
"license": "071-0059-69",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-005969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.